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Chronic Obstructive Pulmonary Disease and asthma are two diseases characterized by chronic inflammation of the lining of the airways, causing edema, increased mucus secretion in the airways, bronchial divertikulitis smooth divertikulitis muscle contraction, the phenomenon tighten and cause airway narrowing, clinically manifested divertikulitis by signs such as cough, shortness of breath (in some cases clearly hear the wheeze, or the trigger itself), severe chest. The expression usually weighs up to midnight, dawn, or when the weather changes, inhalation of fumes, divertikulitis dust ... have chronic progressive disease, both diseases can not be cured completely, many patients to take medicine every day to make ends meet (patients with chronic obstructive pulmonary disease), or taking divertikulitis a long period (the patients with bronchial asthma). divertikulitis The drugs used in the treatment of chronic obstructive pulmonary disease and asthma can be divided into: The bronchodilator drugs corticosteroid group 1. bronchodilator
The main use of bronchodilators that relax the bronchial smooth muscle, thereby, increase airway caliber. divertikulitis Airflow is easier circulation, air in and out of the lungs more easily, the patient should all feel shortness of breath. After bronchodilator use, besides comfort, all expressed difficulty breathing, other manifestations observed were: lung examination shows air in and out of the lungs more easily (represented by murmur alveolar heard more clearly), no expression snakes, snoring; when ventilation lung function measurements show expiratory volume in the first second divertikulitis exertion increased markedly. Bronchodilators are medicines have a major role in the treatment of chronic obstructive pulmonary disease, and the components to help cut dyspnea attacks, as well as prophylactic divertikulitis treatment to prevent attacks appear in the next difficulty breathing patients with bronchial asthma. The group bronchodilators include:
- Beta 2 adrenergic intensity Group: Drugs are divided into effect quickly, and short: This group includes drug salbutamol, terbutaline ... this group of drugs commonly used primarily as a cutting attack dyspnea. Drugs that slow, and lasts: Bambuterol, salmeterol, formoterol, indacaterol.
- Group anticholinergic drugs: drugs are divided into fast-acting, divertikulitis short, and drugs that slow, prolonged drug action fast, short: Ipratropium. The proprietary medicines containing the active drug is available on the market including: Atrovent, berodual, Combivent ... Drug-acting, extended: tiotropium (as bronchodilators prolonged anticholinergic group, dominant effect on the M1 and M3 receptors. The drug has long-lasting effects than ipratropium, so patients less often (only 1 times / day)
- Group xanthine: consist primarily oral form (theophylline) and intravenous injection (diaphyllin). Drugs that are less often used alone in combination with beta-2 adrenergic drugs intensity group or anticholinergics in the treatment group.
Besides the effect of causing bronchiectasis, help tackle the patient's dyspnea, bronchodilator medication may cause unwanted effects such as the following: theophylline poisoning: this is a special effects serious, and may experience due to toxic dose and the therapeutic dose of theophylline quite close together, so, in people with normal kidney function: divertikulitis total dose theophylline / day did not exceed 10 mg / kg. Besides, should not be used together with the macrolide drugs by increasing the risk of torsades de pointes. divertikulitis The clinical manifestations of theophylline poisoning include: anxiety, struggle, vomiting, divertikulitis nausea, nervous palpitations, tachycardia ... Tachycardia: this is a common side effect of the medication group strength beta 2 adrenergic, and drug theophylline divertikulitis group. divertikulitis However, side effects appear in many different degrees divertikulitis depending on the patient, the patients reported more rapid pulse effects, even anxiety, palpitations, however, many patients this effect only transient, and do not cause discomfort. divertikulitis Run your hands: this is the side effects commonly seen in some patients taking beta 2 adrenergic intensity group, the patients appear much steadier, but many patients do not see appear shaky hands. This side effect benign, and usually end when stopping the drug. Cramps: divertikulitis the unwanted effects in patients taking beta 2 adrenergic intensity group. Some patients reported divertikulitis cramps, muscle pain, even to stop smoking. Side effects are usually quite benign, and kh
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